ALBANY MEDICAL COLLEGE (NPI# 1689059123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689059123 |
| Entity Type | Organization |
| Organization Name | ALBANY MEDICAL COLLEGE |
| Other Organization Name | AMC ALBANY MULTI-SPECIALTY |
| Practice Address |
1365 Washington Ave Suite 200 Albany NY 12206-1068 |
| Mailing Address |
1275 Broadway Menands NY 12204-2638 |
| Practice Telephone | 5182641761 |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-12-14 |
| Authorized Official Name | VINCENT VERDILE (DEAN) |
| Authorized Official Telephone | 5182626008 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| AMC Albany Multi-Specialty | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982197869 | Albany Medical College | Clinic/Center | 1019 New Loudon Rd # A-101, Cohoes, NY 12047-5003 | 2018-06-14 |
| 1801332515 | Albany Medical College | Emergency Medicine | 1769 Union St, Niskayuna, NY 12309-6311 | 2017-01-19 |
| 1346791324 | Albany Medical College | Clinic/Center | 7 Price Chopper Plz, Mechanicville, NY 12118-1250 | 2016-10-14 |
| 1780052308 | Albany Medical College | Emergency Medicine | 730 Hoosick Rd, Brunswick, NY 12180-8777 | 2015-09-14 |
| 1720418221 | Albany Medical College | Emergency Medicine | 2976 Route 9w, Saugerties, NY 12477-5234 | 2013-11-19 |
| 1841530714 | Albany Medical College | Internal Medicine | 178 Washington Avenue Extension, Albany, NY 12203-5304 | 2013-02-28 |
| 1922342138 | Albany Medical College | General Practice | 365 Broadway Ste 304, Kingston, NY 12401-5151 | 2012-11-15 |
| 1104160316 | Albany Medical College | General Practice | 713 Troy Schenectady Rd Ste 126, Latham, NY 12110-2490 | 2012-11-15 |
| 1225372436 | Albany Medical College | Internal Medicine | 176 Washington Avenue Ext Ste 102, Albany, NY 12203-5300 | 2012-11-15 |
| 1013261221 | Albany Medical College | General Practice | 453 Route 146 Ste 204, Clifton Park, NY 12065-3239 | 2012-11-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ALBANY MEDICAL COLLEGE | 47 New Scotland Ave, Albany, NY 12208-3412 |
| Street Address |
1365 WASHINGTON AVE SUITE 200 |
| City | ALBANY |
| State | NY |
| Zip Code | 12206-1068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879709 | Mark Lester Fruiterman | Internal Medicine | 1365 Washington Ave, Ste 300, Albany, NY 12206-1098 | 2005-05-23 |
| 1811448657 | Albany Medical Center Hospital | Clinic/Center | 1365 Washington Ave, Albany, NY 12206-1068 | 2016-10-17 |
| 1821441726 | Albany Medical Center Hospital | Nuclear Medicine | 1365 Washington Ave, Suite 204, Albany, NY 12206-1068 | 2016-07-15 |
| 1700204641 | Albany Medical Center Hospital | Clinical Medical Laboratory | 1365 Washington Ave, Albany, NY 12206-1098 | 2014-03-28 |
| 1508280389 | Albany Medical College | Internal Medicine | 1365 Washington Ave, Suite 300, Albany, NY 12206-1098 | 2014-02-13 |
| 1992042840 | Jenna E Hafner | Physician Assistant | 1365 Washington Ave, Suite 100, Albany, NY 12206-1068 | 2013-01-12 |
| 1922361153 | Amy Lynn Santoro | Nurse Practitioner | 1365 Washington Ave, Suite 201, Albany, NY 12206-1068 | 2012-06-22 |
| 1215202973 | E Scott Macomber Md PC | Specialist | 1365 Washington Ave, Suite 200, Albany, NY 12206-1036 | 2012-03-14 |
| 1588960165 | Michael Dolen | Podiatrist | 1365 Washington Ave, Suite 300, Albany, NY 12206-1068 | 2011-01-31 |
| 1306157318 | Capital Region Open Mri, Inc | Clinic/Center | 1365 Washington Ave, Suite 103, Albany, NY 12206-1068 | 2010-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144749854 | Madena Lynn Henderson | Licensed Practical Nurse | 51 Garfield Pl, Albany, NY 12206 | 2017-09-13 |
| 1912456534 | Adeel A Janjua I | Contractor | 17 Roosevelt St, Albany, NY 12206 | 2016-09-23 |
| 1376901595 | Jacqueline Aimee Dall | Nurse Practitioner | 855 Central Avenue, Albany, NY 12206 | 2016-02-02 |
| 1326414210 | Sarah Walton | Pharmacist | 346 Central Ave, Albany, NY 12206 | 2015-08-14 |
| 1376932558 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave., Albany, NY 12206 | 2015-01-12 |
| 1679993828 | Lori S. Matulewicz | Nurse Practitioner | 500 Central Ave., Equinox, Inc., Albany, NY 12206 | 2014-04-25 |
| 1437417995 | Ernest Nicola Chisena | Orthopaedic Surgery | 1367 Washington Avenue Suite 200, Albany, NY 12206 | 2012-05-02 |
| 1629368519 | Joseph M Rozell | Radiology | 255 Patroon Creek Blvd Apt 3439, Albany, NY 12206 | 2011-04-12 |
| 1346542404 | Melissa June Kowlessar | Licensed Practical Nurse | 69 Benson Street, Albany, NY 12206 | 2010-11-23 |
| 1316109796 | Edmund John Mcgrath | Podiatrist | 911 Central Avenue #24, Albany, NY 12206 | 2008-06-27 |
| Find all providers in zip 12206 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568976413 | Brandie A Smith | General Practice | 19115 Florida Ave., Suite A, Albany, LA 70711 | 2017-11-29 |
| 1346518339 | Richard James Salk | General Practice | 204 Golfview Dr, Albany, MN 56307-9318 | 2011-12-06 |
| 1710197058 | Capital District Gastroenterology & Liver Disease, PC | General Practice | 1 S Pine Ave, Albany, NY 12208-2212 | 2007-05-23 |
| 1336355098 | Charlie Humphries Jr. | General Practice | 802 North Jefferson St, Albany, GA 31701 | 2007-05-16 |
| 1871717249 | Jm Healthcare, PC | General Practice | 402 E Us Highway 136, Albany, MO 64402-8210 | 2007-04-13 |
| 1669695995 | Scott Flinn Miller | General Practice | 1425 Park Terrace Sw, Albany, OR 97321 | 2007-04-11 |
| 1780691121 | Dale Newton Alter | General Practice | 240 2nd Ave Sw, Albany, OR 97321-2233 | 2006-08-01 |
| 1689696551 | Jane E Derook | General Practice | 1 Fletcher Road, Albany, NY 12203 | 2006-07-23 |
| 1750743092 | Jessica Barenboim | General Practice | 47 New Scotland Ave, Department of Anesthesiology, Albany, NY 12208-3412 | 2016-03-25 |
| 1235532284 | Fasttrack Immediate Care of Albany | General Practice | 2822 Nottingham Way, Albany, GA 31707-7629 | 2014-10-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.